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Gambaran Karakteristik Kepatuhan Penderita Hipertensi Dengan Di Puskesmas Ngaliyan Kota Semarang Farizi, Gilang Rizki Al; Aprilia, Eka Rosita; Gloria, Fransisca; Dewi, Rissa Maharani; Suwarni, Sri
Jurnal Farmasi & Sains Indonesia Vol 7 No 1 (2024)
Publisher : LPPM Sekolah Tinggi Ilmu Farmasi Nusaputera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52216/jfsi.vol7no1p218-224

Abstract

Abstract: Hypertension is a disease that is often found in Indonesia. A person is said to have hypertension if systolic blood pressure >140 mmHg and diastolic pressure >90mmHg. Adherence to the use of drugs plays an important role in the long-term treatment of hypertension in order to reduce the risk of complications. This study aims to determine the characteristics of compliance of hypertension patients at the Ngaliyan Health Center, Semarang City. This study used a quantitative design with observational research and cross sectional data collection using patient health medical record data for the period January - April 2023. The instruments used were MMAS-8 and Health Beliefe Model with 240 respondents who met the inclusion criteria. The results of the description of the characteristics of compliance in patients with hypertension) can be concluded that most have a moderate level of compliance as many as 130 respondents (54.2%) while respondents who have a low level of compliance are 77 respondents (32.1%) and those with high compliance are 33 respondents (13.8%).
The influence of service flow changes and drug consultation on quality of life of HIV/AIDS-positive patients in Sunan Kalijaga regional public hospital, Demak regency Dewi, Rissa Maharani; Akrom, Akrom; Simbara, Ari
Media Farmasi: Jurnal Ilmu Farmasi Vol. 19 No. 1: March 2022
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/mf.v19i1.20313

Abstract

Human immunodeficiency virus (HIV infection/AIDS) cannot be cured but can be controlled by antiretroviral medicines. Non-compliance with the treatment is influenced by internal and external factors. The internal factors (predisposing factors) include healthcare systems, socioeconomic conditions, and patients. Meanwhile, the external factors (enabling and reinforcing factors) include the condition of the disease and therapy. This study aims to determine the influence of service flow changes and drug consultation on the quality of life of people living with HIV/AIDS in Sunan Kalijaga Regional Public Hospital, Demak Regency.This research employed a quasi-experimental method with one group and a pre-post design. The research subject was HIV/AIDS-positive patients in Sunan Kalijaga Regional Public Hospital, Demak Regency. These subjects had met the inclusion and exclusion research criteria. The data were collected using an in-depth interview, consisting of 14 questions to determine factors in non-compliance with treatment and patients' quality of life. Patient compliance with treatment and quality of life were measured before and after the intervention. The dependent t-test was employed to determine differences in the average score of the compliance and quality of life before and after the treatment. The majority of HIV/AIDS-positive patients in Sunan Kalijaga Regional Public Hospital are in the productive age (49 people or 96.22%), female (33 people or 62.24%), employed in private jobs (16 people or 30.19%), married (34 people or 64.2%), and graduated from primary school (20 people or 37.7%). The majority of the patients have undergone the treatment for > 1 year (32 respondents or 60.4%) and received the drug regimen of ZDV + 3TC + NVP (90.57%). There is no significant difference in the patient compliance with the treatment before and after the intervention with the sig < 0.05. Moreover, the patients have a high quality of life with a compliance value of 80-100% before and after the intervention. The pre-post-interventions have influenced the physical health domain and the social relation domain with the sig < 0.05. The provision of education affects the quality of life on physical health and social relationship factors (sig < 0.005). The implementation of drug consultation could improve the HIV-positive patients' quality of life in physical health and social relationship domains. In contrast, the intervention does not affect the patients' compliance with the therapy.
Gambaran Kepatuhan Minum Obat Pada Pasien Hipertensi di Salah Satu Puskesmas Semarang Barat Jawa Tengah Dewi, Rissa Maharani; Widiya , Hartika; Farizi , Gilang Rizki Al
Journal of Pharmaceutical and Sciences JPS Volume 8 Nomor 1 (2025)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v8i1.563

Abstract

Introduction: Hypertension is a medical condition characterised by blood pressure that is higher than usual and persistent. Based on previous studies, it was found that the low level of compliance in taking medication was related to a decrease in the quality of life for hypertensive patients. This study aimed to determine the compliance of hypertensive patients with taking medicines at one of the West Semarang Community Health Centres, Central Java. Methods: Analytic descriptive research. This type of research is observational with cross-sectional techniques, with respondents being hypertensive patients at one of the Puskesmas in West Semarang, Central Java, in 2023. Data analysis was conducted by looking at whether or not drug compliance affected patient characteristics using the chi-square Morisky Medication Adherence Scale 8 (MMAS-8) test. Results: female gender is higher than male, age 36 years to 45 years and 56 years to 65 years have high adherence, diploma and undergraduate education have high adherence values, occupation of housewives and civil servants / TNI / POLRI have high adherence to taking medication and long suffering above 2 years of moderate drug compliance, hypertension therapy with 2 to 3 drugs moderate adherence rather than one drug, other disease characteristics are equally high in adherence.Conclusion: Adherence to the use of antihypertensive medications in one Puskesmas in West Semarang, Central Java, was in the high and medium categories. Men have a moderate adherence category, and women have a high adherence category.
Inappropriate Use of Parenteral Analgesics for Mild Pain and Uncomplicated Fever in the Emergency Department: Findings from an Internal Audit Dewi, Rissa Maharani; Rosyid, Abdur; Timur, Willi Wahyu; Nastiti, Nindita Sari; Ningrum, Dwi Monika; Widiyanto, Dimas
Sciences of Pharmacy Volume 5 Issue 1
Publisher : ETFLIN Publishing House

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58920/sciphar0501519

Abstract

Inappropriate prescribing of parenteral analgesics in patients with mild pain or uncomplicated fever remains a relevant concern in emergency care. This study reports findings from a retrospective internal audit conducted in the emergency department of a private hospital in Banjarbaru, Indonesia, to evaluate the appropriateness of non-steroidal anti-inflammatory drug (NSAID) use. Medical records of 384 emergency department visits were reviewed, including data on pain intensity using the Numeric Rating Scale (NRS), clinical indications, route of administration, and immediate adverse reactions. Inappropriate use was defined as administration of parenteral NSAIDs in patients with mild pain (NRS 1–3) or uncomplicated fever when oral therapy was feasible, based on Royal College of Emergency Medicine (RCEM) guidelines. The audit identified inappropriate parenteral NSAID use in 7 patients (3.6%). These cases were associated with mild, immediate adverse effects such as nausea and dizziness. Although the proportion was small, the findings indicate potentially avoidable use of injectable analgesics and highlight the need for improved adherence to guideline-based analgesic selection. Reinforcement of routine pain assessment, clinician re-education, and periodic prescribing audits are recommended to support rational and patient-centered analgesic use in emergency settings.